Disturbances in sleep (eg, taking more than 20 minutes to fall asleep, nightmares) |
Decrease in appetite; less interest in eating |
Somatic reactions (eg, chronic pelvic pain, recurrent abdominal pain, chronic headache, multiple physical complaints) |
Depressive symptoms |
Suicidality |
Anxiety |
Signs of posttraumatic stress disorder (emotional numbing, diminished interest in everyday activities, detachment from others) |
Psychiatric or behavior problems that usually are found in the other gender (eg, eating disorders in boys or fighting in girls) |
School failure |
Decreased self-esteem, self-worth, and/or confidence in their sense of judgment |
Difficulty maintaining relationships |
Sexual dysfunction |
Alcohol or substance use |
Decreased sexual negotiation skills (may lead to pregnancy or sexually transmitted infections) |
For male victims: Fragility of sense of masculinity and confusion about sexual orientation |
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